Individual provider Active NPI

Seth Eberlin, M.D.

  • Plastic Surgery Physician
  • Walnut Creek, CA
National Provider Identifier
1811295819
Registry record updated Dec 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
A115740 Issued in CA
Practice address
100 N Wiget LN
Suite 100
Walnut Creek, CA 94598-5988
Phone
(925) 935-9717
Fax
(925) 935-2713
NPI assigned
Mar 1, 2011
Last updated
Dec 14, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X A115740 CA Primary

Addresses

Primary practice location

100 N Wiget LN
Suite 100
Walnut Creek, CA 94598-5988

Mailing address

100 N Wiget LN
Suite 100
Walnut Creek, CA 94598-5988
Phone (925) 935-9717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160114002133 CA Practitioner - Plastic and Reconstructive Surgery 9739482373 Reassigns benefits to 2 organizations
Practice locations: Walnut Creek, CA

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Southern California Keck School of Medicine, 2009
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

100 N Wiget LN
Suite 100
Walnut Creek, CA 94598-5909
Phone (925) 935-9717

1601 Ygnacio Valley Rd
Suite 100
Walnut Creek, CA 94598-3122
Phone (925) 939-3000

1601 Ygnacio Vly Rd
Walnut Creek, CA 94596-0921
Phone (925) 939-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.63 of 100Reported as group
Quality
67.56
Improvement activities
40
Cost
71.56

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A115740CAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John Muir Trauma Physicians Billing Service Current Accepting new patients
Golden Hills Plastic Surgery Inc. Plastic Surgery CurrentSince Apr 30, 2020 Accepting new patients
John Muir Trauma Physicians Billing Service CurrentSince Dec 2, 2015 Accepting new patients
Seth Eberlin MD Plastic Surgery PastSince Oct 23, 2015 Accepting new patients

Locations

100 N Wiget Ln
Ste 100
Walnut Creek, CA 94598
Phone (925) 933-7100

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1298937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450051200000",
    "number": "1811295819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N WIGET LN",
            "address_2": "SUITE 100",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945985988",
            "telephone_number": "925-935-9717",
            "fax_number": "925-935-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N WIGET LN",
            "address_2": "SUITE 100",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945985988",
            "telephone_number": "925-935-9717",
            "fax_number": "925-935-2713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERLIN",
        "first_name": "SETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-01",
        "last_updated": "2015-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A115740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.